Font Size: a A A

The Study Of The Quality Of Life In Children With Epilepsy

Posted on:2008-01-30Degree:MasterType:Thesis
Country:ChinaCandidate:F ZhangFull Text:PDF
GTID:2144360212496144Subject:Clinical Medicine
Abstract/Summary:PDF Full Text Request
Objective: Professional-scale measurement, clinical interview, regular follow-up, investigation and analysis of the quality of life in children with epilepsy. Some of the children for psychological counseling, helping inspire, to eliminate the psychological barriers and improve their quality of life.Backgronud: Epilepsy is a neurological abnormalities caused by temporary discharge CNS dysfunction of chronic diseases. Clinical manifestations of movement can be felt, awareness, autonomic neuropathy obstacles. Most harmful to the seizure types of generalized tonic-clonic based. The crowd there were currently more than 40% of epilepsy patients have never been treated, 35% of the patients receiving the treatment is irregular, not fundamentally control seizures in patients with serious mental damage, affecting their daily lives. Even if patients receive regular treatment with antiepileptic drugs, medication or surgery is a major concern for the control of seizures. neglect of patients to bring their own feelings and diseases in patients with the physical, psychological, personality, social contacts, employment and other aspects; Meanwhile, due to a lack of understanding of epilepsy and basic knowledge of epilepsy patients biased, and even discriminate against them. so that patients have a sense of shame, which has a direct impact on their quality of life;Since the onset of epilepsy repeatedly uncertain characteristics need long-term medication therapy, to patients with epilepsy. Patients and their families have brought tremendous psychological pressure and heavy financial burdens, Quality of life for patients with epilepsy become urgent.Methods: Application of the United States epilepsy quality of life questionnaire, in accordance with China's specific conditions for a revision of individual projects, conducted a questionnaire survey of 100 children with epilepsy. Case in January of 2006 to December of 2006, in the First Hospital of Jilin University pediatric outpatient children with epilepsy, a total of 100 cases. Other central nervous system disorders and other systems, organ disease, epilepsy meet the diagnostic criteria. All patients test to check their physical conditions. Male 62, female 38 cases, the onset age of 0.9years-11.0 years, with an average 7.9 years of age; Investigation 8.0~16.0 age, the average age 11.5;-8.4 course of 0.3 years, an average of 1.3 years;0.3-6.0not to attack, the average was 1.4 years. Systemic grand mal 27 cases, 8 cases of benign epilepsy children, Petit Mal 10 cases, 50 cases of limited partial seizures, mixed attack 5 cases. TPM 54 single service, and safe and valproate alone service epilepsy who were nine cases and 17 cases, 15 cases were combined. Western did not use those five cases.Results: Epilepsy group and the normal group the more thequality of life of children, in addition to an energy, all the differences were statistically significant. suggest a significant decrease in the quality of life for children with epilepsy. Control of seizures in children after studies showed changes in the quality of life. in addition to a significantly different meaning worrying attack, There were no significant differences in the remainder. 25 cases of psychological intervention in the treatment of patients and families, intervention, QOL, and the various aspects of the patients were significantly improved the total score. The study also showed that different types of attacks, their quality of life scores also varied. In comparing systemic stage, the quality of life in children with epilepsy and Petit Mal, In addition no significant difference in the emotional, and the quality of life in other sub-body grand mal children with the lowest total score. Children benign epilepsy times, Petit Mal maximum, the latter with no significant difference between normal children.Conclusions: Significantly lower than the quality of life of children with epilepsy children. Targeted for the treatment of psychological intervention can improve the quality of life for children with epilepsy. In the community for the epilepsy scientific education, especially for families raising children with the disease and their correct understanding a certain significance.
Keywords/Search Tags:Epilepsy, Quality of life, Health Guidance
PDF Full Text Request
Related items